Identification of Tumor‐Specific Surface Proteins Enables Quantification of Extracellular Vesicle Subtypes for Early Detection of Pancreatic Ductal Adenocarcinoma

Abstract Pancreatic ductal adenocarcinoma (PDAC) is a leading cause of cancer‐related mortality, largely due to late‐stage diagnosis. Reliable early detection methods are critically needed. PDAC‐derived extracellular vesicles (EVs) carry molecules that reflect their parental tumor cells and are dete...

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Main Authors: Chen Zhao, Zhili Wang, Hyoyong Kim, Hui Kong, Junseok Lee, Jacqueline Ziqian Yang, Anmin Wang, Ryan Y. Zhang, Yong Ju, Jina Kim, Bing Feng, Dejun Liu, Yating Zhang, Zhenfang Wang, Yandong Zhang, Shujing Guo, Dekang Gao, James S. Tomlinson, Renjun Pei, Jipeng Wan, Stephen J. Pandol, Myung‐Shin Sim, Sungyong You, Ding Ma, Shaohua Lu, Na Sun, Hsian‐Rong Tseng, Yazhen Zhu
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Advanced Science
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Online Access:https://doi.org/10.1002/advs.202414982
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author Chen Zhao
Zhili Wang
Hyoyong Kim
Hui Kong
Junseok Lee
Jacqueline Ziqian Yang
Anmin Wang
Ryan Y. Zhang
Yong Ju
Jina Kim
Bing Feng
Dejun Liu
Yating Zhang
Zhenfang Wang
Yandong Zhang
Shujing Guo
Dekang Gao
James S. Tomlinson
Renjun Pei
Jipeng Wan
Stephen J. Pandol
Myung‐Shin Sim
Sungyong You
Ding Ma
Shaohua Lu
Na Sun
Hsian‐Rong Tseng
Yazhen Zhu
author_facet Chen Zhao
Zhili Wang
Hyoyong Kim
Hui Kong
Junseok Lee
Jacqueline Ziqian Yang
Anmin Wang
Ryan Y. Zhang
Yong Ju
Jina Kim
Bing Feng
Dejun Liu
Yating Zhang
Zhenfang Wang
Yandong Zhang
Shujing Guo
Dekang Gao
James S. Tomlinson
Renjun Pei
Jipeng Wan
Stephen J. Pandol
Myung‐Shin Sim
Sungyong You
Ding Ma
Shaohua Lu
Na Sun
Hsian‐Rong Tseng
Yazhen Zhu
author_sort Chen Zhao
collection DOAJ
description Abstract Pancreatic ductal adenocarcinoma (PDAC) is a leading cause of cancer‐related mortality, largely due to late‐stage diagnosis. Reliable early detection methods are critically needed. PDAC‐derived extracellular vesicles (EVs) carry molecules that reflect their parental tumor cells and are detectable in early disease stages, offering a promising noninvasive diagnostic approach. Here, a streamlined PDAC EV Surface Protein Assay for quantifying PDAC EV subpopulations in 300‐µL plasma through a two‐step workflow is presented: i) click chemistry‐mediated EV enrichment using EV Click Beads and trans‐cyclooctene‐grafted antibodies targeting three PDAC EV‐specific surface proteins (MUC1, EGFR, and TROP2), and ii) quantification of enriched PDAC EVs through reverse transcription‐quantitative polymerase chain reaction. The three PDAC EV‐specific surface proteins are identified using a bioinformatics framework and validated on PDAC cell lines and tissue microarrays. The resultant PDAC EV Score, derived from signals of the three PDAC EV subpopulations, demonstrates robust differentiation of PDAC patients from noncancer controls, with area under the receiver operating characteristic curves of 0.94 in the training (n = 124) and 0.93 in the validation (n = 136) cohorts. This EV‐based diagnostic approach successfully exploits PDAC EV subpopulations as novel biomarkers for PDAC early detection, translating PDAC surface proteins into an EV‐based liquid biopsy platform.
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spelling doaj-art-c5a3209d5d17476085ddd9fac0939cdd2025-08-20T03:24:39ZengWileyAdvanced Science2198-38442025-06-011221n/an/a10.1002/advs.202414982Identification of Tumor‐Specific Surface Proteins Enables Quantification of Extracellular Vesicle Subtypes for Early Detection of Pancreatic Ductal AdenocarcinomaChen Zhao0Zhili Wang1Hyoyong Kim2Hui Kong3Junseok Lee4Jacqueline Ziqian Yang5Anmin Wang6Ryan Y. Zhang7Yong Ju8Jina Kim9Bing Feng10Dejun Liu11Yating Zhang12Zhenfang Wang13Yandong Zhang14Shujing Guo15Dekang Gao16James S. Tomlinson17Renjun Pei18Jipeng Wan19Stephen J. Pandol20Myung‐Shin Sim21Sungyong You22Ding Ma23Shaohua Lu24Na Sun25Hsian‐Rong Tseng26Yazhen Zhu27Department of Pathology and Laboratory Medicine David Geffen School of Medicine, University of California, Los Angeles (UCLA) Los Angeles CA 90095 USACAS Key Laboratory for Nano‐Bio Interface Suzhou Institute of Nano‐Tech and Nano‐Bionics Chinese Academy of Sciences Suzhou 215123 ChinaCalifornia NanoSystems Institute Crump Institute for Molecular Imaging Department of Molecular and Medical Pharmacology David Geffen School of Medicine University of California, Los Angeles (UCLA) Los Angeles CA 90095 USADepartment of Pathology Zhongshan Hospital Fudan University Shanghai 200032 ChinaCalifornia NanoSystems Institute Crump Institute for Molecular Imaging Department of Molecular and Medical Pharmacology David Geffen School of Medicine University of California, Los Angeles (UCLA) Los Angeles CA 90095 USACalifornia NanoSystems Institute Crump Institute for Molecular Imaging Department of Molecular and Medical Pharmacology David Geffen School of Medicine University of California, Los Angeles (UCLA) Los Angeles CA 90095 USADepartment of Pathology and Laboratory Medicine David Geffen School of Medicine, University of California, Los Angeles (UCLA) Los Angeles CA 90095 USACalifornia NanoSystems Institute Crump Institute for Molecular Imaging Department of Molecular and Medical Pharmacology David Geffen School of Medicine University of California, Los Angeles (UCLA) Los Angeles CA 90095 USACalifornia NanoSystems Institute Crump Institute for Molecular Imaging Department of Molecular and Medical Pharmacology David Geffen School of Medicine University of California, Los Angeles (UCLA) Los Angeles CA 90095 USADepartment of Urology and Computational Biomedicine Cedars‐Sinai Medical Center Los Angeles CA 90048 USACalifornia NanoSystems Institute Crump Institute for Molecular Imaging Department of Molecular and Medical Pharmacology David Geffen School of Medicine University of California, Los Angeles (UCLA) Los Angeles CA 90095 USADepartment of Biliary‐Pancreatic Surgery Renji Hospital Shanghai Jiaotong University Shanghai 200217 ChinaDepartment of Anesthesiology Nanfang Hospital Southern Medical University Guangzhou 510515 ChinaDepartment of Pathology School of Basic Medical Sciences Southern Medical University Guangzhou 510515 ChinaDepartment of Pathology School of Basic Medical Sciences Southern Medical University Guangzhou 510515 ChinaDepartment of Pathology School of Basic Medical Sciences Southern Medical University Guangzhou 510515 ChinaDepartment of General Surgery Second Affiliated Hospital of Soochow University Suzhou 215004 ChinaDepartment of Surgery David Geffen School of Medicine, University of California, Los Angeles (UCLA) Los Angeles CA 90095 USACAS Key Laboratory for Nano‐Bio Interface Suzhou Institute of Nano‐Tech and Nano‐Bionics Chinese Academy of Sciences Suzhou 215123 ChinaCalifornia NanoSystems Institute Crump Institute for Molecular Imaging Department of Molecular and Medical Pharmacology David Geffen School of Medicine University of California, Los Angeles (UCLA) Los Angeles CA 90095 USADivision of Gastroenterology and Hepatology Department of Medicine Cedars‐Sinai Medical Center Los Angeles CA 90048 USADepartment of Urology and Computational Biomedicine Cedars‐Sinai Medical Center Los Angeles CA 90048 USADepartment of Urology and Computational Biomedicine Cedars‐Sinai Medical Center Los Angeles CA 90048 USADepartment of Biliary‐Pancreatic Surgery Renji Hospital Shanghai Jiaotong University Shanghai 200217 ChinaDepartment of Pathology Zhongshan Hospital Fudan University Shanghai 200032 ChinaCAS Key Laboratory for Nano‐Bio Interface Suzhou Institute of Nano‐Tech and Nano‐Bionics Chinese Academy of Sciences Suzhou 215123 ChinaCalifornia NanoSystems Institute Crump Institute for Molecular Imaging Department of Molecular and Medical Pharmacology David Geffen School of Medicine University of California, Los Angeles (UCLA) Los Angeles CA 90095 USADepartment of Pathology and Laboratory Medicine David Geffen School of Medicine, University of California, Los Angeles (UCLA) Los Angeles CA 90095 USAAbstract Pancreatic ductal adenocarcinoma (PDAC) is a leading cause of cancer‐related mortality, largely due to late‐stage diagnosis. Reliable early detection methods are critically needed. PDAC‐derived extracellular vesicles (EVs) carry molecules that reflect their parental tumor cells and are detectable in early disease stages, offering a promising noninvasive diagnostic approach. Here, a streamlined PDAC EV Surface Protein Assay for quantifying PDAC EV subpopulations in 300‐µL plasma through a two‐step workflow is presented: i) click chemistry‐mediated EV enrichment using EV Click Beads and trans‐cyclooctene‐grafted antibodies targeting three PDAC EV‐specific surface proteins (MUC1, EGFR, and TROP2), and ii) quantification of enriched PDAC EVs through reverse transcription‐quantitative polymerase chain reaction. The three PDAC EV‐specific surface proteins are identified using a bioinformatics framework and validated on PDAC cell lines and tissue microarrays. The resultant PDAC EV Score, derived from signals of the three PDAC EV subpopulations, demonstrates robust differentiation of PDAC patients from noncancer controls, with area under the receiver operating characteristic curves of 0.94 in the training (n = 124) and 0.93 in the validation (n = 136) cohorts. This EV‐based diagnostic approach successfully exploits PDAC EV subpopulations as novel biomarkers for PDAC early detection, translating PDAC surface proteins into an EV‐based liquid biopsy platform.https://doi.org/10.1002/advs.202414982cancer diagnosisextracellular vesiclesliquid biopsypancreatic ductal adenocarcinoma
spellingShingle Chen Zhao
Zhili Wang
Hyoyong Kim
Hui Kong
Junseok Lee
Jacqueline Ziqian Yang
Anmin Wang
Ryan Y. Zhang
Yong Ju
Jina Kim
Bing Feng
Dejun Liu
Yating Zhang
Zhenfang Wang
Yandong Zhang
Shujing Guo
Dekang Gao
James S. Tomlinson
Renjun Pei
Jipeng Wan
Stephen J. Pandol
Myung‐Shin Sim
Sungyong You
Ding Ma
Shaohua Lu
Na Sun
Hsian‐Rong Tseng
Yazhen Zhu
Identification of Tumor‐Specific Surface Proteins Enables Quantification of Extracellular Vesicle Subtypes for Early Detection of Pancreatic Ductal Adenocarcinoma
Advanced Science
cancer diagnosis
extracellular vesicles
liquid biopsy
pancreatic ductal adenocarcinoma
title Identification of Tumor‐Specific Surface Proteins Enables Quantification of Extracellular Vesicle Subtypes for Early Detection of Pancreatic Ductal Adenocarcinoma
title_full Identification of Tumor‐Specific Surface Proteins Enables Quantification of Extracellular Vesicle Subtypes for Early Detection of Pancreatic Ductal Adenocarcinoma
title_fullStr Identification of Tumor‐Specific Surface Proteins Enables Quantification of Extracellular Vesicle Subtypes for Early Detection of Pancreatic Ductal Adenocarcinoma
title_full_unstemmed Identification of Tumor‐Specific Surface Proteins Enables Quantification of Extracellular Vesicle Subtypes for Early Detection of Pancreatic Ductal Adenocarcinoma
title_short Identification of Tumor‐Specific Surface Proteins Enables Quantification of Extracellular Vesicle Subtypes for Early Detection of Pancreatic Ductal Adenocarcinoma
title_sort identification of tumor specific surface proteins enables quantification of extracellular vesicle subtypes for early detection of pancreatic ductal adenocarcinoma
topic cancer diagnosis
extracellular vesicles
liquid biopsy
pancreatic ductal adenocarcinoma
url https://doi.org/10.1002/advs.202414982
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